DR. KATHERINE PRUZAN PSY.D.
NPI 1851664395
Psychologist - Clinical in New York, NY

Active since February 14, 2012Opted out of Medicare · through Oct 7, 2026
276 5TH AVE, SUITE 1101, NEW YORK, NY 10001(845) 661-3957 Get Directions Write a Review

NPPES record last updated: February 14, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Katherine Pruzan Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATHERINE PRUZAN PSY.D. (NPI 1851664395) is an individual clinical provider in New York, New York, licensed in New York (019119) and active in the NPI registry since February 2012. She has opted out of Medicare through October 7, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1851664395
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KATHERINE PRUZANCredential: PSY.D.
Location Address276 5TH AVE, SUITE 1101New York, NY 10001-4509
Mailing Address276 5th Ave, Suite 1101New York, NY 10001-4509 · (845) 661-3957
Sole ProprietorYes
Enumeration DateFebruary 14, 2012
NPI 1851664395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in NY · 019119
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
276 5TH AVE, New York, NY 10001

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Katherine Pruzan Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 7, 2020 through October 7, 2026.

Opt-Out Effective DateOctober 7, 2020
Opt-Out In Effect ThroughOctober 7, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
276 5TH AVE, SUITE 507-B
NEW YORK, NY 10001
Nurse Practitioner (Psychiatric/Mental Health)
276 5TH AVE, SUITE 704
NEW YORK, NY 10001
Psychologist (Counseling)
276 5TH AVE, SUITE 307A
NEW YORK, NY 10001
Psychologist
276 5TH AVE, SUITE 1105
NEW YORK, NY 10001
Psychologist (Clinical)
276 5TH AVE, SUITE #307-A
NEW YORK, NY 10001
Specialist
276 5TH AVE, SUITE 500
NEW YORK, NY 10001
Acupuncturist
276 5TH AVE, 202
NEW YORK, NY 10001
Psychologist (Clinical)
276 5TH AVE, SUITE 307B
NEW YORK, NY 10001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katherine Pruzan's NPI number?

The NPI number for Katherine Pruzan is 1851664395. It was assigned to this individual provider in the NPPES registry on February 14, 2012.

Where is Katherine Pruzan located?

Katherine Pruzan practices at 276 5th Ave Suite 1101, New York, NY 10001. The listed phone number is (845) 661-3957.

What is Katherine Pruzan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Katherine Pruzan enrolled in Medicare?

No. Katherine Pruzan has opted out of Medicare through October 7, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Katherine Pruzan was last updated on February 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.